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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - Defensive Medicine: "Glowing" with Pain
February 1, 2010
Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
The Case
 
A 31-year-old man presented to the emergency department (ED) complaining of abdominal pain and
vomiting. The… 
                                     
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - underlying system defects before patients are harmed and, when errors do occur, strategies to improve rapid
                                     
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - patient portal), patients will ask about appointments or some question that does not need a physician response … When we survey physicians before and after they have a scribe, we have found an improvement in the response
                                     
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - January 31, 2024 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient Safety Innovations 
 
 
 
 
 
 
 
 
 Remote Response
                                     
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - The "5Es" of emergency physician-performed focused cardiac ultrasound: a protocol for rapid identification
                                     
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - SPOTLIGHT CASE
         
 Postdischarge Follow-Up Phone Call 
 
 
 
 
 Citation Text: 
 Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. 
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 Format: 
 
 
 
 Google Schol… 
                                     
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - In Conversation With… Jeffrey Starke, MD 
 October 1, 2017 
                       
 
 
 
 
 
 
 
 
 
 
 
 
 Citation Text: 
 In Conversation With… Jeffrey Starke, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. 
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 Form… 
                                     
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - accreditation standard or some other widely recommended intervention like with medication reconciliation, rapid … response teams, central line bundles, and so on—then of course there's a role for a trial if it's an
                                     
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - As of 2011, in response to both the Institute of Medicine report as well as its own internal review … you're flipping from days to nights, is to do something that we have
tended to advocate, the idea of a rapid
                                     
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - Are the providers prepared to up their game in response to the signals that
the market is giving them … Organizations that have taken that approach of very
dynamic rapid discovery of what they don't know
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - relatively
immunocompromised systems by impaired cellular and innate immunity including pulmonary immune
response … Implementation of an electronic SBAR
(situation, background, assessment, response) documentation template … treatment for patients with severe AWS; however, other
medications that address the elevated sympathetic response … Electronic SBAR (situation, background, assessment, response) documentation templates may
facilitate
                                     
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - relatively immunocompromised systems by impaired cellular and innate immunity including pulmonary immune response … Implementation of an electronic SBAR (situation, background, assessment, response) documentation template … treatment for patients with severe AWS; however, other medications that address the elevated sympathetic response … Electronic SBAR (situation, background, assessment, response) documentation templates may facilitate
                                     
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - In Canada, across the entire province of Alberta they had two Rapid Response Teams of patient and family … June 30, 2021 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Perspective 
 
 
 
 
 
 
 
 
 Long-Term Care and the Response
                                     
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - Each alarm has a different setting, and the appropriate response to one may be incredibly dangerous for … RW:  We're beginning to see rapid acceleration in electronic records and computerized order entry.
                                     
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - that must be discussed promptly, especially with a situation like upper GI bleeding that can result in rapid … true that the success rates of CPR are better intraoperatively (probably at least in part due to very rapid
                                     
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - SPOTLIGHT CASE
         
 Robotic Surgery: Risks vs. Rewards 
 
 
 
 
 Citation Text: 
 Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. 
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 Format: 
 
 
 
 Googl… 
                                     
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - The other phenomenon that happens is tolerance, which is simply a shift in the dose–response curve so … The natural response, which we're taught to do by thought leaders, is to increase the opioid doses. … Many other policies are important pillars of an effective response to the opioid epidemic, including
                                     
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - Many other policies are important pillars of an effective response to the opioid epidemic, including … The other phenomenon that happens is tolerance, which is simply a shift in the dose–response curve so … The natural response, which we're taught to do by thought leaders, is to increase the opioid doses.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - relatively immunocompromised systems by impaired cellular and innate immunity 
including pulmonary immune response … • Implementation of an electronic SBAR (situation, background, 
assessment, response) documentation … treatment for patients with severe AWS; however, other 
medications that address the elevated sympathetic response …  Electronic SBAR (situation, background, assessment, response) documentation templates may 
facilitate
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - Too Hot For Comfort 
 
 
 
 
 Citation Text: 
 Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. 
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 Format: 
 
 
 
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